CBIS EXAM Questions with Correct Answers

CBIS EXAM Questions with Correct Answers Nuerocognitive Issues Assoicated with Frontal Lobe - ANSWER Emotional control, behavioral control, verbal expression, problem solving, decision making, social control, attention, motivation Acquired BI - ANSWER An injury to the brain that is not hereditary, congenital or degenerative or induced by birth trauma TBI - ANSWER An alteration in brain function or other evidence of brain pathology, casused by an external force Mild TBI Characteristics - ANSWER Brief or no loss of consciousness for 0- 30mins, altered state of consciousness is most common and must be 24 hours, account for 75% of TBIs, 13-15 on the GCS, normal imaging, highest prevalence of maltreatment as 16-25% never seek care, often considered a concussion Moderate TBI Characteristics - ANSWER Loss of consciousness for up to 24 hours, may appear on scans, skull fractures and bleeding are common, 9-12 on the GCS Severe TBI Characteristics - ANSWER Loss of consciousness 24 hours, 3-8 on the GCS Likelihood of Additional Injury - ANSWER 1 BI increases risk of 2nd by 3x and 2nd BI increases risk of 3rd by 8x! Most Frequent Cause of TBI - ANSWER Falls How many people sustain a BI per year? - ANSWER 2.5 million. 81% visit ED, 16% hsopitalized, 3% result in death How many people are living with effects of a TBI? - ANSWER 13.5 million Likelihood of BI by gender - ANSWER Men are 1.4x more likely than women Most common cause of TBI and death by age - 75+ - ANSWER Falls! Most common cause of TBI and death by age - 0-3 - ANSWER AHT! Most common cause of TBI and death by age - 20-24 - ANSWER MVAs and Firearms Most common cause of TBI and death by age - 16-19 - ANSWER MVAs! CARF - ANSWER Accreditation agency for post acute BI programs, residential, outpatient, vocational, home and community, stroke and pediatric programs - ensures quality of services through requirements for accreditation and surveys Joint Commission - ANSWER Accreditation agency for hospital based programs, may accompany CARF accreditation, ensures quality of services through requirements for accreditation and surveys Olmsted Decison - ANSWER Supreme court case stimulated by two women living in a nursing home in Georgia for community inclusion - resulted in federal and state initiatives to improve and normalize community living Model Systems of Care 1987 - ANSWER Resulted in research projects for TBI by the NIDDR, established rehab facilities to provide care and complete clinical research in the process Symptoms of Mild TBI - ANSWER Headache, fatigue, seizures, nausea, numbness, poor sleep, light sensitivity, noise sensitivity, impaired hearing, blurred vision, dizziness, loss of balance, neurological abnormality, in attentiveness, decreased concentration, poor memory, impaired judgment, slow proccessing speed, executive dysfunction, depression, anxiety, agitation, irritability, aggression, impulsivity